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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2023, Number 03

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Ginecol Obstet Mex 2023; 91 (03)

Bilateral retinal detachment in a pregnant woman with HELLP syndrome. Case report and literature review

Hernández JC, Ortiz-Úsuga MC, Estrada J
Full text How to cite this article

Language: Spanish
References: 12
Page: 190-196
PDF size: 547.34 Kb.


Key words:

HELLP syndrome, Preeclampsia, Pregnancy complications, Retina, Retinal detachment.

ABSTRACT

Background: HELLP syndrome is a life-threatening complication of pregnancy in both mother and fetus. It manifests as a variant of the preeclampsia spectrum, almost always related to visual changes, complications, such as retinal detachment, are exceptional.
Clinical case:A 26-year-old primigravida patient, 36 weeks pregnant, with hypertensive disorder, HELLP syndrome type, complicated by bilateral serous retinal detachment that resolved spontaneously.
Conclusions: Ocular manifestations related to preeclampsia and HELLP syndrome are usually transient and are related more to an alarm symptom than to an organic ocular disorder. It is important that patients with these types of obstetric conditions receive multidisciplinary care.


REFERENCES

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  2. Errera MH, Kohly RP, Cruz L da. Pregnancy-associated retinaldiseases and their management. Surv Ophthalmol 2013;58 (2): 127-42. doi:10.1016/j.survophthal.2012.08.001

  3. Hussain SA, O’Shea BJ, Thagard AS. Preeclamptic serousretinal detachment without hypertension: A case report.Case Rep Womens Health 2019. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358546. doi: 10.1016/j.survophthal.2012.08.001

  4. Naderan M. Ocular changes during pregnancy. J Curr Ophthalmol2018; 30 (3): 202-10. doi:10.1016/j.joco.2017.11.012

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  6. Păun VA, Ionescu ZR, Voinea L, Cîrstoiu M, Baroș A, PricopieȘtefan, et al. Ocular posterior pole pathological modificationsrelated to complicated pregnancy. A review. RomanianJ Ophthalmol. 2017; 61 (2): 83-9. doi:10.22336/rjo.2017.16

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  8. Vigil-De Gracia P, Ortega-Paz L. Retinal detachment in associationwith pre-eclampsia, eclampsia, and HELLP syndrome.Int J Gynaecol Obstet Off Organ Int Fed Gynaecol Obstet.2011; 114 (3): 223-5. doi:10.1016/j.ijgo.2011.04.003

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  11. Velazquez-Villoria D, Marti Rodrigo P, DeNicola ML, ZapataVitori MA, Segura García A, García-Arumí J. Swept sourceoptical coherence tomography evaluation of chorioretinalchanges in hypertensive choroidopathy related to HellpSyndrome. Retin Cases Brief Rep. 2019 Winter;13 (1): 30-3.doi:10.1097/ICB.0000000000000524

  12. Hernández D, Cárdenas APL, Muci-Mendoza R. Después dela tormenta sobreviene la calma. Hipertensión inducida porel embarazo y desprendimiento seroso de la retina. Angiografíafluoresceínica evolutiva. Médicas UIS 2007; 20 (2).https://revistas.uis.edu.co/index.php/revistamedicasuis/article/view/1836 DOI




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C?MO CITAR (Vancouver)

Ginecol Obstet Mex. 2023;91